Lāʻau Lāpāʻau || Echinacea Mouthwash More Effective than Chlorhexidine in Decreasing Oral Microbial Load in Intubated Patients

Crooked Bear Creek Organic Herbs

Ventilator-associated pneumonia (VAP) is a common bacterial infection among patients in intensive care units (ICUs). For patients placed on a ventilator, the risk for nosocomial pneumonia and mortality is higher than for other patients. The use of anti-bacterial mouthwashes is recommended to prevent the occurrence of VAP. Among the available mouthwashes, chlorhexidine is highly effective in reducing dental plaque and pathogenic microorganisms; however, studies investigating the efficacy of chlorhexidine for the prevention of VAP have yielded conflicting results. Extracts of echinacea (Echinaceaspp.Asteraceae) aerial parts have immuno-stimulant, anti-inflammatory, and mild antimicrobial properties. This double-blind, randomized, controlled clinical trial compared the effects of echinacea and chlorhexidine mouthwashes on the oral microbial load in ICU patients who underwent tracheal intubation.

The study included 70 patients admitted to the ICUs in three hospitals in Arak, Iran, between April 2014 and October 2014 who underwent intubation. The patients were randomly assigned…

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